Individual
DANESSA PALACIOS-REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
800 SCENIC DR BLDG 4, MODESTO, CA 95350-6131
(209) 525-6146
Mailing address
800 SCENIC DR BLDG 4, MODESTO, CA 95350-6131
(209) 525-6146
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
687867
CA
Other
Enumeration date
08/30/2022
Last updated
03/08/2023
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